| NPI | 1013001031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST S REEH Owner 651-439-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MN D10710) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MN D10281) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |